Home-based Transcranial Direct Current Stimulation for Pain Management in Persons With Alzheimer's Disease and Related Dementias
2 other identifiers
interventional
40
1 country
1
Brief Summary
The purpose of this project is to evaluate the preliminary effects of home-based M1-SO applied tDCS (that is, tDCS with the anode over the primary motor cortex and the cathode over the contralateral supraorbital area) on clinical pain in persons with early-stage Alzheimer's disease and Related Dementias (ADRD), to evaluate the preliminary effects of home-based M1-SO applied tDCS on pain-related cortical response in persons with early-stage ADRD, and to evaluate the feasibility and acceptability of home-based M1-SO applied tDCS for pain management in persons with early-stage AD.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Sep 2020
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 1, 2020
CompletedFirst Posted
Study publicly available on registry
July 7, 2020
CompletedStudy Start
First participant enrolled
September 4, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 19, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
October 19, 2022
CompletedResults Posted
Study results publicly available
October 13, 2023
CompletedOctober 13, 2023
September 1, 2023
2.1 years
July 1, 2020
August 23, 2023
September 20, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
Pain as Assessed by the Mobilization-Observation-Behavior-Intensity-Dementia (MOBID-2) Scale
Mobilization-Observation-Behavior-Intensity-Dementia (MOBID-2) is a 10 question scale, each question rated from 0-10. The total score ranges between 0-100 with a higher number indicating a worse outcome. The change in total score between the baseline (day 1) and the end of intervention (day 5) is reported.
baseline (day 1), end of intervention (day 5)
Secondary Outcomes (6)
Clinical Pain as Assessed by a Numerical Rating Scale (NRS)
baseline (day 1), end of intervention (day 5)
Behavioral and Psychological Symptoms of Dementia (BPSD) as Measured by the Cohen-Mansfield Agitation Inventory (CMAI)
baseline (day 1), end of intervention (day 5)
Behavioral and Psychological Symptoms as Assessed by Neuropsychiatric Inventory (NPI)
baseline (day 1), end of intervention (day 5)
Change in Pain Related Cortical Response Using a Continuous Wave, Multichannel Functional Near-infrared Spectroscopy (fNIRS) Imaging System
baseline (day 1), end of intervention (day 5)
Acceptability as Measured by the tDCs Experience Questionnaire
end of intervention (day 5)
- +1 more secondary outcomes
Study Arms (2)
Active tDCS
EXPERIMENTALSham tDCS
PLACEBO COMPARATORInterventions
tDCS with a constant current intensity of 2 milliampere (mA) will be applied for 20 minutes per session daily for 5 days via the Soterix 1x1 tDCS mini-CT Stimulator device with headgear and 5x7 cm saline-soaked surface sponge electrodes.
The electrodes will be placed in the same positions as for active stimulation, but the stimulator will only deliver 2 mA current for 30 seconds.
Eligibility Criteria
You may qualify if:
- early-stage Alzhimer's disease and related dementias (ADRD)
- have caregiver-reported chronic pain (average pain in the past 3 months ≥ 3 out of 10),
- have a caregiver willing to participate in the study who sees the participant at least 10 hours/week
- can speak and read English
- have no plans to change medication regimens during the trial
You may not qualify if:
- history of brain surgery, brain tumor, seizure, stroke, or intracranial metal implantation
- alcohol/substance abuse
- severely diminished cognitive function (i.e., MiniMental Status Exam score ≤ 15)
- hospitalization within the preceding year for neuropsychiatric illness
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
The University of Texas Health Science Center at Houston
Houston, Texas, 77030, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Dr. Hyochol Ahn
- Organization
- University of Arizona
Study Officials
- PRINCIPAL INVESTIGATOR
Hyochol Ahn, RN,PhD,MSN
The University of Texas Health Science Center, Houston
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, CARE PROVIDER
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Dean for Research & Professor
Study Record Dates
First Submitted
July 1, 2020
First Posted
July 7, 2020
Study Start
September 4, 2020
Primary Completion
October 19, 2022
Study Completion
October 19, 2022
Last Updated
October 13, 2023
Results First Posted
October 13, 2023
Record last verified: 2023-09
Data Sharing
- IPD Sharing
- Will not share